Selective Reduction of Multifetal Pregnancies in the First Trimester

作者: Richard L. Berkowitz , Lauren Lynch , Usha Chitkara , Isabelle A. Wilkins , Karen E. Mehalek

DOI: 10.1056/NEJM198804213181607

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摘要: THE number of pregnancies complicated by multiple gestation has been increasing as a result the relatively widespread use ovulatory drugs and in vitro fertilization. In with gestations, adverse outcome is directly proportional to fetuses within uterus, primarily because an increased predisposition premature delivery. Although there good deal information about twins, very little on triplets, virtually nothing but case reports have published involving four or more fetuses. It therefore extremely difficult counsel patients expected . . .

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